ABSTRACT
We report a 55-year-old white woman with an angiosarcoma of the left breast, anemia and thromobocytopenia due to a consumptive coagulopathy (Kasabach-Merritt syndrome).
Subject(s)
Breast Neoplasms/diagnosis , Hemangiosarcoma/diagnosis , Thrombocytopenia/complications , Breast Neoplasms/complications , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Diagnosis, Differential , Fatal Outcome , Female , Hemangiosarcoma/complications , Hemangiosarcoma/diagnostic imaging , Hemangiosarcoma/pathology , Humans , Middle Aged , Syndrome , Thrombocytopenia/blood , UltrasonographyABSTRACT
Cervicocogenic headache (CeH) is a relatively common disorder. Although on ideal treatment is available so far, blockades in different structures and nerves may be temporarily effective. We studied the effects of 1-2 mL 0.5% bupivacaine injection at the ipsilateral greater occipital nerve (GON) in 41 CeH patients. The pain is significantly reduced both immediately and as long as 7 days after the blockade. The improvement is less marked during the first two days, a phenomenon we called "tilde pattern". GON blockades may reduce the pool of exaggerated sensory input and antagonize a putative "wind-up-like effect" which may explain the headache improvement.
Subject(s)
Anesthetics, Local/therapeutic use , Bupivacaine/therapeutic use , Headache/drug therapy , Nerve Block/methods , Analysis of Variance , Cranial Nerves , Female , Humans , Male , Neck , Occipital Lobe , Time FactorsSubject(s)
Breast Neoplasms/mortality , Postpartum Period , Pregnancy , Breast Neoplasms/pathology , Female , Humans , Lymphatic Metastasis , Mastectomy , PrognosisABSTRACT
Com a finalidade de avaliar os resultados de tratamento do cancer da mama associado a gravidez ou lactacao, os autores analisam seus indices de sobrevida e os comparam a uma serie o mais semelhante possivel sem aquela associacao. No periodo 1953-1977 tiveram 103 pacientes com carcinoma da mama simultaneamente ao ciclo gravido-puerperal, correspondentes a 1,6% de todos os casos de cancer da mama vistos no mesmo periodo. Vinte e quatro pacientes foram operadas pela mastectomia radical havia mais de 5 anos. Comparam os resultados de tratamento com igual numero de casos-controles do mesmo grupo etario, estadio clinico, presenca ou ausencia de metastases axilares e operados tambem pela mastectomia radical. Assim a unica diferenca entre os grupos foi a associacao de gravidez em um deles. As doentes que nao tinham metastases axilares apresentaram o mesmo resultado de sobrevida a 5 anos em ambos os grupos: 4 em 6 (66,7%). Quando, entretanto, a axila estava comprometida, verificaram pior resultado nas pacientes com tumor no ciclo gravido-puerperal: 2 em 18 (11,1%) contra 9 em 18 (50%) do grupo-controle
